by admin | Aug 31, 2018 | Stem Cell Research, Stem Cell Therapy, Studies
Crohn’s disease is a chronic inflammatory bowel disease that has no cure. It causes abdominal pain, frequent diarrhea, weight loss, fatigue, and anemia. While the disease can be controlled to some degree through oral and injectable medications, life-threatening complications may occur.
One of the feared complications of Crohn’s disease is called a bowel fistula. A fistula is an abnormal connection between two places on the body. In Crohn’s disease, a fistula forms between the intestine and some other structure—the intestine essentially forms a “tunnel.” The fistula can form between one loop of intestine and another, between intestine and bladder, or even between the intestine and the outside of the body. This complication of Crohn’s disease is obviously quite distressing to patients.
Some bowel fistulas may close on their own with conservative treatments, but fistulas associated with Crohn’s disease do not respond well to available medical treatments. Those looking for an alternative treatment may be able to consider stem cell therapy.
Stem cells offer an interesting potential solution to this problem. Stem cells can provide a large dose of normal cells filled with molecules that can help direct normal bowel growth and development. Indeed, researchers have shown that autologous mesenchymal stem cells can help close and heal fistulas in patients with Crohn’s disease.
In phase I, II, and IIB clinical trials, stem cells derived from adipose tissue or bone marrow were directly infused into the bowel area (via a so-called intra-fistular injection). Across five clinical studies including over 100 patients, stem cell administration resulted in complete fistula healing in 50 to 80% of patients treated. Of those who did not obtain complete control fistula closure, almost all had evidence of improvement. These results support that autologous mesenchymal stem cell therapy is a promising future treatment for patients with Crohn’s disease and may offer patients enjoy a better quality of life.
by admin | Aug 28, 2018 | Stem Cell Research, Stem Cell Therapy
The evidence for the promise of mesenchymal stem cells in regenerative medicine has been growing for several years. With new sources regularly emerging, stem cells can come from a large variety of sources. Postnatal mesenchymal stem cells appear to have the most promise in regeneration. A new review has addressed how mesenchymal stem cells can be used with innovative scaffolding engineering approaches to improve techniques in regenerative medicine.
Mesenchymal stem cells are, on their own, good candidates for regeneration because of a number of characteristic features. For instance, they can differentiate into many different types of cells. Osteoblasts and chondroblasts are two cell types that mesenchymal stem cells differentiate into and that can be supported in bone regeneration by 3D-printed biomaterials like scaffolds.
Mesenchymal stem cells also can have beneficial impacts on the immune system. Unlike with other stem cell types, the severe immune reactions that may occur with the transplantation of foreign materials into the body can often be avoided with the use of mesenchymal stem cells, making them a safe option in regenerative medicine.
The current review addresses the ways in which bone regeneration can be optimized through the use of mesenchymal stem cells and scaffold engineering and how new concepts in bioengineering may be able to improve regenerative medicine in combination with mesenchymal stem cell approaches. Future research will need to focus on how we can customize regenerative approaches using what we know about mesenchymal stem cells and the most cutting-edge innovations in bioengineering.
by admin | Aug 21, 2018 | Stem Cell Therapy, Wharton's Jelly
Mesenchymal stem cells have been showing promise in the treatment of a variety of diseases and injuries. These cells are derived from different tissue types, and it appears that where the stem cells come from is indicative of how they function and how appropriate they are for use in different applications. Bone marrow-derived mesenchymal stem cells have been deeply studied and are often considered a go-to for stem cell research and clinical use.
However, there are several limitations that bone marrow-derived mesenchymal stem cells pose, particularly from a practicality standpoint, and thus, researchers have begun to try to understand how other types of stem cells may achieve similar or better results than those from the bone marrow. A recent review, published in Act Histochemical, compiled comprehensive data on the biological properties associated with a specific type of mesenchymal stem cell called Wharton’s Jelly-derived mesenchymal stem cells.
These stem cells, which come from the umbilical cord, are able to differentiate into mature cells that make up several different types of tissues and can even turn into non-mesenchymal cells, such as neurons, or brain cells. They are useful in that they spontaneously move to sites of injury or inflammation and may, therefore, be able to help restore tissue and normal functioning. They are also unlikely to instigate adverse immune system reactions.
While it is advantageous that bone marrow-derived mesenchymal stem cells have been studied extensively and therefore are associated with broad knowledge of therapeutic applicability, the cells are difficult to isolate and use. In contract, cells from the umbilical cord matrix, or Wharton’s jelly, are easy to isolate and also appear to be good candidates for therapeutic intervention. Future research should therefore look more closely at how Wharton’s jelly-derived mesenchymal stem cells can be used to treat disease and injury. As noted by the authors of this review, there are specifically dysfunctions of the central and peripheral nervous system that these stem cells may be able to address.
by admin | Aug 10, 2018 | Bone Marrow, Wharton's Jelly
Mesenchymal stem cells that come from different cell sources can look similar but behave differently. Bone marrow-derived mesenchymal stem cells tend to be the gold standard for isolating and using mesenchymal stem cells, it is not particularly easy to access these cells from the bone marrow. Because there are other, much more easily accessible mesenchymal stem cells, such as those from the umbilical cord, it is important to establish the differences between the different types of stem cells so that each can be used when most appropriate and when most advantageous.
One important difference is how to isolate the cells and how easy it is to do so. Recent work published this year in Stem Cells and Development helped to define the best way to isolate mesenchymal stem cells from the Wharton’s jelly of umbilical cords. The researchers also looked at the gene expression profile and the immune system characteristics of both bone marrow-derived mesenchymal stem cells and Wharton’s jelly-derived mesenchymal stem cells.
The researchers found that mesenchymal stem cells that came from the Wharton’s jelly of the umbilical cord had a better capacity to expand into more tissue than those taken from the bone marrow. Further, their gene expression was different. In the stem cells from the Wharton’s jelly, there was greater gene enrichment for genes related to cell adhesion, proliferation, and immune system functioning than in the cells from the bone marrow. These cells also induced the maturation of brain cells more so than did the mesenchymal stem cell derived from bone marrow.
These results show that Wharton’s jelly-derived mesenchymal stem cells have distinct properties from bone marrow-derived mesenchymal stem cells and likely have specific advantages as well to help treat those battling osteoarthritis, multiple sclerosis, Parkinson’s disease, and other degenerative conditions. Further research will help bear out more of the differences between these types of stem cells and how each type can best be used to help patients.
by admin | Jul 26, 2018 | Stem Cell Research, Stem Cell Therapy
As patients start to investigate the many different types of stem cells, it can become overwhelming. Often stem cells are organized into groups by tissue source, i.e., by the type of tissue stem were derived. While it can be important to know whether stem cells come from adipose tissue (fat cells) or the umbilical cord, for example, it is equally important to understand the types of stem cells by their capacity to differentiate. In other words, what are the types of stem cells organized by their ability to become different or more mature cells?
One of the most intriguing features of stem cells is their ability to become virtually any other type of cell. We all start out as a sperm and an egg but end up as an exquisitely organized collection of heart cells and brain cells and kidney cells, etc. At each step of the way—from early cells to the adult human body—stem cells become more differentiated and less capable of becoming any other cell. Thinking about them this way, stem cells are grouped into four categories:
- Omnipotent stem cells
- Pluripotent stem cells
- Multipotent stem cells
- Unipotent stem cells
Omnipotent stem cells
Omnipotent stem cells, also called totipotent stem cells, truly have the capacity to become any other cell. Omnipotent stem cells can become embryonic cells or even the cells that support the embryo, like the placenta. A fertilized egg is an example of an omnipotent cell. While omnipotent/totipotent stem cells are potentially incredibly useful, their use is highly restricted and controversial. As such, they are not usually used for therapeutic purposes, or even for research.
Pluripotent stem cells
Pluripotent stem cells are the next best thing to omnipotent stem cells. Pluripotent stem cells can become nearly any tissue in the body. Like omnipotent stem cells, the use of naturally occurring pluripotent stem cells is also controversial because they require the use of embryos. However, researchers have devised a rather ingenious way to take regular cells and turn them into pluripotent stem cells. These stem cells are referred to as induced pluripotent stem cells or iPSCs. Induced pluripotent stem cells are particularly exciting because of their potential as research tools and clinical therapeutics. Most importantly, iPSCs sidestep controversy because they are made from mature cells.
Multipotent stem cells
Multipotent stem cells can become any number of mature cells. For example, a mesenchymal stem cell can become a muscle cell or fat cell, a bone cell or cartilage cell. Another powerful feature of multipotent stem cells is that they can divide and form other multipotent stem cells. Thus, their ability to differentiate and self-renew makes them incredibly versatile for research and clinical purposes.
Another example of multipotent stem cells is the type of cells that give rise to blood cells, namely hematopoietic stem cells. Hematopoietic stem cells can differentiate into myeloid type or lymphoid type, but once they do, they are restricted to become their corresponding type of blood cell. For example, myeloid cells can become red blood cells or certain white blood cells, while lymphoid cells are more or less destined to become lymphocytes.
Unipotent stem cells
Unipotent stem cells are technically stem cells but have very little potential become anything other than the one cell they were destined to become. For example, a cartilage stem cell is destined to become a cartilage cell, while a bone stem cell is destined to become a bone cell. A mesenchymal stem cell could become either one, but by the time it has differentiated into a cartilage or bone stem cell, its fate is essentially predetermined. As you may expect, unipotent stem cells have limited clinical usefulness.
In summary, as you think about different types of stem cells, it can be important to think about where the stem cell came from (e.g. fat tissue), but also consider its potential for self-renewal and differentiation.